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Questions 148

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Question 1 of 5

A client diagnosed with lung cancer asks the nurse what the term MO refers to. The nurse says that MO means

Correct Answer: A

Rationale: In cancer staging, M0 indicates no distant metastasis, per TNM classification.

Question 2 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg three times daily. The nurse should instruct the client to report which of the following side effects to the physician?

Correct Answer: B

Rationale: gingival hyperplasia and rash are significant side effects of phenytoin that require medical attention

Question 3 of 5

The nurse is assisting a client with diverticulitis to select appropriate foods. Which food should be avoided?

Correct Answer: C

Rationale: Clients with diverticulitis should avoid foods with seeds, such as tomatoes and cucumbers, as they can irritate diverticula. Bran, peaches, and dinner rolls are generally safe.

Question 4 of 5

A client's wife states that her elderly husband has begun to slightly slur his words and drop word endings, he has become increasingly withdrawn socially, and he is irritable, accusing her of talking behind his back and whispering at him. The nurse suspects that the client should be initially evaluated for which of the following?

Correct Answer: C

Rationale: Slurred speech, social withdrawal, and irritability with accusations of whispering suggest hearing loss (
C), which can cause communication difficulties and paranoia. Depression (
A), Alzheimer's (
B), and stroke (
D) are less likely to present with this specific combination.

Question 5 of 5

A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

Correct Answer: A

Rationale: A Protime of 120 seconds indicates excessive anticoagulation, increasing the risk of bleeding, so assessing for abnormal bleeding is the most important intervention.

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